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NHS SERVICE HOURS REPORT FORM

L. V. Berkner Chapter
NAME: _________________________________________ STUDENT ID: _________________ Circle One:
(at time of turning in)

3rd-Year Senior *24 2nd-Year Senior *16 New Senior *8

2nd-Year Junior *24 New Junior *16 Sophomore *24

*Total number of outside hours needed at time of graduation. Make a COPY of this sheet for your records. This form is for OUTSIDE hours ONLY! DO NOT include inside hours on this sheet! Each event can only count for up to 4 hours! (i.e. If youve gone to the animal shelter already for 4 hours this school year, you will not receive more hours for going back to the animal shelter. If you volunteer at an all-day event for 4+ hours, you will only receive 4 hours for that event.) Return to Mrs. Freeman in room E157.

Explanation of Hours

No. of Hours Spent

Sponsor Signature

If you do something out of obligation, it is worthless. If you do something out of commitment, it will last a lifetime!

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